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Completed

NCT Number: NCT05254223

Anti-Inflammatory Diet Effect in Rheumatoid Arthritis Patients

The current study pretends to clarify, whether or not a healthy anti inflammatory diet improves different health-related outcomes in participants with rheumatoid arthritis.

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Key information

About this study

The current study pretends to clarify, whether or not a healthy anti-inflammatory diet improves different health-related outcomes: clinical, analytical, anthropometric and psychological outcomes in participants with rheumatoid arthritis. Due to the intervention has been based in a dietary advise, one of the goals of this study is also to evaluate the role of dietary advice in changing effectively the dietary patterns of the patients.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Rheumatoid arthritis patients

Exclusion criteria

Any additional pathology or situation that could be considered, according to clinical criteria, of risk for the patient or for the study. for example:

  • Chronic renal failure
  • Liver failure
  • Heart failure
  • Pregnancy

Treatment and study plan

Antiinflammatory Diet

Other

The intervention group is recommended to follow a diet, inspired in mediterranean diet, rich in anti-inflammatory foods. They are provided with a table with the recommended foods as well as the frequency of daily/weekly/biweekly consumption.

Control diet

Other

The control group is recommended to follow their usual diet. Only in the case of detecting a serious nutritional problem the participant is recommended to correct it with the appropriate advice of the nutritionist.

Primary outcomes

  1. Changes in disease activity

    Time frame: Day 0, month 4, month 8 and month12.

    Disease activity is determined by Simplified Disease Activity Index (SDAI)

  2. Changes in disease activity

    Time frame: Day 0, month 4, month 8 and month12.

    Disease activity is determined by DAS28 score_ c reactive protein (DAS28-CRP)

  3. Changes in disease activity

    Time frame: Day 0, month 4, month 8 and month12.

    Disease activity is determined by DAS28 score_ erythrocyte sedimentation rate (DAS28-ESR)

  4. Changes in disease activity

    Time frame: Day 0, month 4, month 8 and month12.

    Disease activity is determined by Clinical Disease Activity Index (CDAI)

  5. Changes in functional capacity

    Time frame: Day 0, month 4, month 8 and month12.

    Functional capacity is assessed by the Health Assessment Questionnaire (HAQ).

  6. Changes in self-perceived health

    Time frame: Day 0, month 4, month 8 and month12.

    Self-perceived health is evaluated by questionnaire EuroQol-5D-3L (EQ-5D)

  7. Global analysis of the dietary pattern during the intervention (FFQ)

    Time frame: Month 12.

    Global analysis of the dietary pattern during the intervention is evaluated by the food frequency questionaire (FFQ)

  8. Detailed analysis of diet.

    Time frame: Day 0, month 4, month 8 and month12.

    Detailled analysis of diet is carried out by 24 hour dietary recall 3 days/week. Diet will be analyzed by HD-ENRICA diet analisys software (v17). Data analyzed will be: Energy (Kcal), Proteins (g), Carbohydrates (g), Fats (g), Fibre (g), vitamins (mg), minerals (mg), water (ml).

  9. Changes in Mediterranean Diet Adherence Score (MEDAS)

    Time frame: Day 0, month 4, month 8 and month12.

    Changes in MEDAS are carried out by MEDAS. 0 points means no adherence, 14 points means maximal adherence.

  10. Changes in Dietary inflammatory Index (DII)

    Time frame: Day 0, month 4, month 8 and month12.

    Dietary inflammatory index are calculated with the information provides by 24 hour dietary recall 3 days/week.

Secondary outcomes

  1. Changes in self-reported pain,

    Time frame: Every week from day 0 and during 12 months.

    Participants report weekly self perception about pain, answering to a visual analogical scale where 0 means no pain and 10 is the maximum pain imaginable.

  2. Changes in self-reported stiffness.

    Time frame: Every week from day 0 and during 12 months.

    Participants report weekly self perception about stiffness answering to a scale where 0 means no stiffness and 10 is the maximum stiffness imaginable.

  3. Changes in self-reported inflammation

    Time frame: Every week from day 0 and during 12 months.

    Participants report weekly self perception about inflammation answering to a scale where 0 means no stiffness and 10 is the maximum stiffness imaginable.

  4. Changes in Lipidomics profile

    Time frame: Day 0, month 4, month 8 and month12.

    Lipidomics profiling will be determined by plasma gas chromatography mass spectrometry (GC/MS). Lipidomics profiling in serum samples will be correlated with lipid intake.

  5. Changes in cytokines/Interleukins (ILs)

    Time frame: Day 0, month 4, month 8 and month12.

    IL-1B, IL-4, IL-6, IL-10, IL-17, TNF-a, MCP1 will be analyzed by multiplex assay. Results will be correlated with Disease activity Indexes/scores.

  6. Changes in anthropometric mesurements

    Time frame: Day 0, month 4, month 8 and month12.

    Participant's height (m) and weight (Kg) will be measured and body mass index (BMI) will be calculated.

  7. Changes in anthropometric measurements

    Time frame: Day 0, month 4, month 8 and month12.

    Body fat percentage (BFP) analyzed by bioelectrical impedance analysis (BIA).

  8. Changes in anthropometric measurements

    Time frame: Day 0, month 4, month 8 and month12.

    Body fat percentage (BFP) analyzed by anthropometric analysis acording to ISAK procedures (international standards for anthropometric assessment ) and using Siri formula where Fat %= [(4,95/density) - 4,5] * 100

Sponsors and collaborators

Lead sponsor

Jose manuel Lou Bonafonte

Other

Collaborators

  • Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición
  • Hospital San Jorge (Huesca)
  • Instituto Agroalimentario de Aragón (IA2).
  • Universidad de Zaragoza

Registry information

Official study title

Effect of Long Term "Anti-inflammatory-diet" Advice in Patients With Rheumatoid Arthritis.

Acronym: AIDE-RAP

Important dates

Study start
2016
Primary completion
2017
Study completion
2018
First posted
Feb 24, 2022
Registry last updated
Feb 24, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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